Most Relevant Information
Provider Data
NPI Number: | 1003283227 |
Provider Name: | CHRISTY MCEWEN |
Entity Type: | Individual |
Taxonomy Code: | 363L00000X |
Specialty: | Nurse Practitioner |
License Number: | ARNP3222112 |
Most Important Dates
Enumeration Date: | 08/24/2015 |
Last Updated: | 11/17/2015 |
Provider Practice Location
836 PRUDENTIAL DR STE 1700B
UNIT 1
JACKSONVILLE
FL
322078344
Practice Location Phone/Fax
Phone: | 9043980125 |
Fax: | 9043891832 |
Provider Mailing Location
PO BOX 43667
JACKSONVILLE
FL
322033667
Provider Mailing Phone/Fax
Phone: | 9043983760 |
Fax: | 9043891832 |